synergistic necrotizing cellulitis

synergistic necrotizing cellulitis

A form of necrotizing fasciitis characterized by involvement of skin, subcutaneous tissue, fascia, muscle; lesions are usually located on legs or perineum, arising in a perirectal abscess Risk factors DM, obesity, advancing age, cardiorenal disease Clinical Small skin ulcers that ooze a red-brown fetid liquid fancifully termed 'dishwater pus', surrounded by gangrenous patches punctuated by preserved islands of normal-appearing skin, pain, tenderness, tissue gas, systemic toxicity, bacteremia